Thrush during breast-feeding
Generally, a push therapy with 5-ASA preparations or glucocorticoids, such as cortisone, is possible during pregnancy. A high-dose cortisone therapy during lactation is also possible. However, it should be noted that cortisone is passed on to the newborn via breast milk.
Similar to cortisone therapy during pregnancy, the formation of endogenous cortisol in the newborn baby may be reduced. If cortisone therapy must be carried out on the mother during breastfeeding, close monitoring by a paediatrician should be carried out so that a deficiency can be quickly detected and treated. If the severity of the relapse requires the use of immunosuppressive drugs such as methotrexate, azathioprine, tacrolimus or antibodies such as Infliximab, the newborn should not be breastfed any further, as there is insufficient experience of how these drugs affect the newborn and to what extent they are transmitted via breast milk.
